ABOS

ABOS Questionnaire: To be completed by parent/guardian

If you are the parent/guardian of a young person aged under 18 years please complete the following questionnaire based on your observations of your young person.

Completed by *

Both parents togetherMother only Father only Other

Rate the following items on the basis of observations made during the last month at home. Rate an item "YES" or "NO" if you are sure about it (for instance, if you yourself saw it happening). Rate "?" if you are not sure (for instance, if you did not have the opportunity to observe it yourself, if you only heard about it, or if you can only suppose that it happened). *

YESNO?

Avoids eating with others or delays as much as possible before coming to the dinner table.

YESNO?

Shows obvious signs of tension at mealtimes.

YESNO?

Shows anger or hostility at mealtimes.

YESNO?

Begins by cutting up food into small pieces.

YESNO?

Complains that there is too much food or that it's too rich (fattening).

YESNO?

Exhibits unusual 'food faddisms".

YESNO?

Attempts to bargain about food (for example "I'll eat this if I don't have to eat that").

YESNO?

Picks at food or eats very slowly.

YESNO?

Prefers diet products (with low calorie content).

YESNO?

Seldom mentions being hungry.

YESNO?

Likes to cook food or help in the kitchen, but avoids tasting or eating.

YESNO?

Vomits after meals.

YESNO?

Conceals food in napkins, handbags, or clothing during mealtimes.

YESNO?

Disposes of food (out of window, into dustbin, or down sink or toilet).

YESNO?

Conceals or hoards food in own room or elsewhere.

YESNO?

Eats when alone or secretly (for example at night).

YESNO?

Dislikes visiting others or going to parties because of the "obligation" to eat.

YESNO?

Has sometimes difficulties in stopping eating or eats unusually large amounts of foods or sweets.

YESNO?

Complains a lot about constipation.

YESNO?

Frequently takes laxatives or asks for them.

YESNO?

Claims to be "too fat" regardless of weight loss.

YESNO?

Often speaks about slimming, dieting, or ideal body forms.

YESNO?

Often leaves the table during meal times (for example, to get something in the kitchen).

YESNO?

Stands, walks or runs about whenever possible.

YESNO?

Is as active as possible (for example, clearing tables or cleaning the room).

YESNO?

Does a lot of physical activity or sports.

YESNO?

Studies or works diligently.

YESNO?

Is seldom tired and takes little or no rest.

YESNO?

Claims to be normal, healthy, or even better than ever.

YESNO?

Is reluctant to see a doctor or refuses medical examinations.

YESNO?

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CFIH Assessment Form - Child

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